Individual provider · Type 1 NPI
Christine Renee Dodge, SA-C
Surgical Physician Assistant · Ault, CO
NPI number
1447656764
Active
Practice location
39237 County Road 43
Ault, CO 80610-9539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
| Surgical Assistant | 246ZC0007X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1447656764
Christine Renee Dodge, SA-C's National Provider Identifier is 1447656764, issued on Nov 13, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ault, CO. The record was last updated on Jun 10, 2015.